Bankruptcy Filing Schedules

BANKRUPTCY FILING SCHEDULES

This Bankruptcy Filing Schedules (the "Schedules") is prepared by Debtor and submitted to the bankruptcy court in connection with a voluntary petition under Title 11 of the United States Code. Debtor Name: Case Number (if known): Filing Date:

Debtor Address: Social Security / Tax ID:

RECITALS

WHEREAS, Debtor seeks relief under the provisions of Title 11 and is required to file schedules and a statement of financial affairs disclosing assets, liabilities, income and expenditures; and

WHEREAS, the Schedules identify the nature, location, ownership interest, value and any claimed exemptions of property, and list creditors and the amounts of their claims; and

WHEREAS, Debtor acknowledges that the Schedules are filed under penalty of perjury and that material omissions or false statements may subject Debtor to sanctions, dismissal of the case, or criminal penalties under applicable law.

NOW, THEREFORE

Debtor hereby files the Schedules and the Statement of Financial Affairs set forth below and certifies the truth and completeness of the information contained herein to the best of Debtor's knowledge, information, and belief.

1. DEFINITIONS

For purposes of these Schedules, "Debtor" means the individual or entity identified above. "Schedules" means the inventory of assets, liabilities, exemptions, executory contracts, codebtors, and financial disclosures required by the rules of the bankruptcy court. Terms not defined herein shall have the meanings given in the Bankruptcy Code.

2. GENERAL INSTRUCTIONS AND CERTIFICATION

Debtor shall list all property and liabilities as of the date of filing. Each entry must identify the creditor, the nature of the claim, the amount owed, and any collateral or priority. Debtor certifies under penalty of perjury that the information contained in these Schedules is true and correct to the best of Debtor's knowledge, information, and belief.

3. SCHEDULE A/B — REAL AND PERSONAL PROPERTY

3.1 Real Property — Describe real property owned, nature of interest, and current estimated value.

4. SCHEDULE C — PROPERTY CLAIMED AS EXEMPT

List each item of property claimed as exempt, including the statute or authority relied upon and the value claimed as exempt.

5. SCHEDULE D — SECURED CREDITORS

List parties holding secured claims and describe the collateral securing each obligation.

6. SCHEDULES E/F — PRIORITY AND UNSECURED CREDITORS

List all unsecured creditors, distinguishing priority claims where applicable.

7. SCHEDULE G — EXECUTORY CONTRACTS AND UNEXPIRED LEASES

Identify all executory contracts and unexpired leases to which Debtor is a party.

8. SCHEDULE H — CODEBTORS

List name and address of any codebtor on any debt listed in these Schedules.

9. SCHEDULE I — CURRENT INCOME OF INDIVIDUAL DEBTOR(S)

10. SCHEDULE J — CURRENT EXPENDITURES OF INDIVIDUAL DEBTOR(S)

11. STATEMENT OF FINANCIAL AFFAIRS (SELECTED QUESTIONS)

11.1 Have you transferred, sold, or given any property within two years before filing? Yes No

11.2 Have you been a party to any lawsuit within one year before filing? Yes No

12. DECLARATION AND SIGNATURE

I declare under penalty of perjury under the laws of the United States that the information provided in these Schedules and the Statement of Financial Affairs is true and correct to the best of my knowledge, information, and belief.

13. NOTICES, GOVERNING LAW AND MISCELLANEOUS

Notices to Debtor concerning these Schedules shall be effective if served at the Debtor Address provided above. These Schedules shall be governed by and construed in accordance with the Bankruptcy Code and, where applicable, the laws of the state in which the bankruptcy petition is filed.

Entire Agreement: These Schedules, together with the Statement of Financial Affairs, constitute the entire representation of Debtor made in connection with the disclosures required by the court and supersede any prior written or oral statements on the same subject.

Severability: If any provision of these Schedules is determined to be invalid or unenforceable, the remaining provisions shall remain effective and enforceable.

Amendments; Waiver: These Schedules may be amended by written supplement filed with the court. No waiver of any provision shall be effective unless in writing and signed by the party to be charged.

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